FAQ
Frequently asked questions
Answers to the questions hospitals ask most often about MEV's AI medical agents: claims, coding, and referral capabilities, data security, regulatory compliance, and how adoption works.
What does MEV do?
MEV is an AI medical agent company serving tertiary and university hospitals. We support three functions — reimbursement and claims optimization (RCM), automated clinical coding, and referral and return-referral management — inside the clinician's existing EMR/OCS workflow. Every recommendation is accompanied by evidence, and every decision is signed off by a physician.
How is an AI medical agent different from conventional medical AI?
MEV's agent is not a single-purpose diagnostic aid. It supports the entire administrative workflow from documentation through coding, claims, and referrals. It generates recommendations and drafts inside the EMR/OCS screens, with no separate system to adopt, and attaches a source, physician sign-off, and an audit trail to every output.
How does MEV prevent claim denials? (claims review · RCM)
Before submission, MEV screens each claim against the review criteria for items at risk of denial and for missed charges, and shows the evidence for why each item is flagged. It also monitors HIRA quality-assessment metrics — including the New Bundled Payment system, DRG, and non-covered services — to protect rightfully earned revenue.
How does clinical coding automation work?
From clinical documentation, imaging reports, and procedure notes, MEV recommends diagnosis (KCD), fee-schedule, and procedure codes, and displays the supporting text from the record alongside each recommendation. The AI only recommends. The physician makes the final decision, and finalized codes flow directly into EDI claims.
What does the referral and return-referral agent do?
It automatically identifies patients ready for return referral, drafts referral and return-referral letters, and matches patients with partner facilities. It supports management of the return-referral rate, a key metric in Tertiary General Hospital designation review.
Does the AI replace the physician's judgment?
No. MEV follows a human-in-the-loop principle. The AI presents recommendations and drafts together with their evidence, and the final decision always rests with the physician. Who approved what, and when, is recorded in the audit log.
Is patient data secure? Does it ever leave the hospital?
Patient data never leaves the hospital network. MEV supports on-premises and air-gapped (network-separated) deployment, pseudonymizes data before processing, and transmits no identifiable information externally.
How does MEV comply with the Medical Service Act, the Personal Information Protection Act, and related regulations?
MEV is designed to the requirements of the Medical Service Act and the Personal Information Protection Act from the outset, with built-in procedures for verifying the clinical validity and evidence of every output. We also assess applicability under the MFDS medical device (SaMD) framework.
How does MEV integrate with our existing EMR/OCS?
MEV is not a stand-alone application. It operates inside the EMR/OCS screens your clinicians already use, presenting recommendations without a separate login or duplicate data entry, and without interrupting the flow of care.
How can we evaluate the impact and see a demonstration?
In a 30-minute demonstration, we walk you through the area that matters most to you — claims, coding, or referrals. Measured outcomes from client hospitals will be published separately once the data has been validated. We do not present estimates as facts.
First, confirm the fit with your hospital's workflow.
In a 30-minute demonstration, we walk you through the area that matters most to you — claims, coding, or referrals.
Request a Demo